Active NPI
Shaun Yvette Lewis
- Counselor
- Los Angeles, CA
National Provider Identifier
1699074591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 112 S Occidental Blvd
Apt# 22
Los Angeles, CA 90057-1260 - Phone
- (562) 464-8681
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
112 S Occidental Blvd
Apt# 22
Los Angeles, CA 90057-1260
Mailing address
112 S Occidental Blvd
Apt# 22
Los Angeles, CA 90057-1260
Phone (562) 464-8681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1699074591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S OCCIDENTAL BLVD",
"address_2": "APT# 22",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571260",
"telephone_number": "562-464-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S OCCIDENTAL BLVD",
"address_2": "APT# 22",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571260",
"telephone_number": "562-464-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SHAUN",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.